| NPI | 1588850556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEEMSON OO Owner 716-712-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NY 226696) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2007-11-16 |